Location

Registration

The Registration Form is intended for one person only. In order to participate in the Conference, please submit your completed the Registration Form by e-mail to: pbc[at]ilot.edu.pl or by regular post to the correspondence address provided.

Name*

Surname*

Scientific Title

Position

Name of Institution*

Email address*

Contact Telephone No.*

Participation in the Conference (tick where necessary):

submission of abstract, presentation of paper and publication after acceptance by the Organizing Committeesubmission of abstract and its publication (without presentation) after acceptance by the Organizing Committeeparticipation in the Conference (without submission of abstract)

Proposed title of abstract (concerns persons submitting abstracts for presentation)

If you suffer from any allergies or you have any dietary restrictions please inform us

I hereby authorize you to process my personal data included in registration form for the needs of the conference registration process in accordance with the Personal Data Protection Act dated 29.08.1997 (uniform text: Journal of Laws of the Republic of Poland 2002 No 101, item 926 with further amendments)